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KMID : 0878220170290040317
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Journal of Sasang Constitutional Medicine
2017 Volume.29 No. 4 p.317 ~ p.325
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Clinical Practice Guideline for acupuncture in Post-stroke urinary incontinence
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Lee Ji-Won
Shin Byung-Cheul
Lee Myeong-Soo
Lim Sung-Min
Yoo Jung-Hee
Cho Chung-Sik
Moon Sang-Kwan
Yook Tae-Han
Joo Jong-Cheon
Lee Eui-Ju
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Abstract
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Objectives: This study is aimed to develop a Clinical Practice Guideline (CPG) on acupuncture treatment for the stroke patients with Post-stroke Urinary Incontinence(PSUI).
Methods: Experts committee, consisting of stroke or methodology specialists, searched Medline, EMBASE, Cochrane Library, China National Knowledge Infrastructure, and 19 Korean medicine journals. The search terms were selected to screen the randomized controlled trials (RCTs) or systematic reviews for the effectiveness of acupuncture on PSUI, compared with placebo or conventional group. Levels of evidence and grades of recommendations were appraised based on Recommendations for Development of Clinical Practice Guideline in Korean Medicine.
Results & Conclusions: 8 RCT were included to build the CPG. There was a strong evidence to support the effectiveness of acupuncture treatment for PSUI. The moderate evidence was presented that over 3 times a week of the acupuncture should be performed over 4 weeks on the acupoints, such as BL23, CV3, SP6, CV4, CV6, ST28, BL28, BL32, GV20, BL22, GV4 or ST36, for 15-30 minutes. 1-150 Hz frequency is suggested if electro-acupuncture treatments is performed with. It was also suggested that the procedure should begin at the acute stage just after the vital signs of the patients are stabilized. There was a moderate evidence to support safety of acupuncture treatment for PSUI. We recommend acu-points of constitutional acupuncture for Sasangin on the healthy side.
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KEYWORD
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Acupuncture, Stroke, Urinary dysfunction, Urinary incontinence, Clinical practice guideline, Sasang Constitutional Medicine
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